Breastfeeding behavior is not associated with health literacy: evidence from the German KUNO-Kids birth cohort study.

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Abstrakt

Tytuł:: Breastfeeding behavior is not associated with health literacy: evidence from the German KUNO-Kids birth cohort study.
Autorzy:: Graus TM; University Department of Gynecology and Obstetrics, Hospital St. Hedwig of the Order of St. John, University Medical Center Regensburg, Steinmetzstr., 1-3, 93049, Regensburg, Germany.
Brandstetter S; University Children's Hospital Regensburg (KUNO), Hospital St. Hedwig of the Order of St. John, University of Regensburg, Steinmetzstr., 1-3, 93049, Regensburg, Germany.; The Research and Development Campus Regensburg (WECARE), Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.
Seelbach-Göbel B; University Department of Gynecology and Obstetrics, Hospital St. Hedwig of the Order of St. John, University Medical Center Regensburg, Steinmetzstr., 1-3, 93049, Regensburg, Germany.
Melter M; University Children's Hospital Regensburg (KUNO), Hospital St. Hedwig of the Order of St. John, University of Regensburg, Steinmetzstr., 1-3, 93049, Regensburg, Germany.
Kabesch M; University Children's Hospital Regensburg (KUNO), Hospital St. Hedwig of the Order of St. John, University of Regensburg, Steinmetzstr., 1-3, 93049, Regensburg, Germany.; The Research and Development Campus Regensburg (WECARE), Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.
Apfelbacher C; Institute of Social Medicine and Health Systems Research, Otto Von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
Fill Malfertheiner S; University Department of Gynecology and Obstetrics, Hospital St. Hedwig of the Order of St. John, University Medical Center Regensburg, Steinmetzstr., 1-3, 93049, Regensburg, Germany. .; The Research and Development Campus Regensburg (WECARE), Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany. .
Corporate Authors:: KUNO-Kids study group
Źródło:: Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2021 Nov; Vol. 304 (5), pp. 1161-1168. Date of Electronic Publication: 2021 Apr 27.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: Berlin : Springer Verlag
Original Publication: München : Springer International, c1987-
MeSH Terms:: Breast Feeding*
Health Literacy*
Mothers/*psychology
Adult ; Cesarean Section ; Cohort Studies ; Feeding Behavior ; Female ; Germany ; Humans ; Infant ; Infant, Newborn ; Male ; Pregnancy
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Grant Information:: 603946) EU (HEALS: 603946); SYSINFLAME: 01ZX1306E Bundesministerium für Bildung und Forschung
Contributed Indexing:: Investigator: A Ambrosch; P Arndt; A Baessler; M Berneburg; S Böse-O'Reilly; R Brunner; W Buchalla; A Franke; S Häusler; I Heid; C Herr; W Högler; S Kerzel; M Koller; M Leitzmann; D Rothfuß; W Rösch; B Schaub; BHF Weber; S Weidinger; S Wellmann
Keywords: Breastfeeding; Breastfeeding promotion; Health care; Health literacy
Entry Date(s):: Date Created: 20210427 Date Completed: 20211119 Latest Revision: 20240405
Update Code:: 20240405
PubMed Central ID:: PMC8490221
DOI:: 10.1007/s00404-021-06038-2
PMID:: 33904955
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Purpose: Despite the health benefits of full breastfeeding for both infants and mothers, less than 50% of mothers in Germany practice this method for at least 4 months after childbirth. Because of the growing importance of health literacy to improve public health, we investigated the role of maternal health literacy in breastfeeding behavior.
Methods: We analyzed the data of 1172 mother-child dyads of the KUNO-Kids health study of the University Children's and Maternity Hospital Regensburg. Maternal health literacy was assessed with the HLS-EU-Q47 questionnaire (sub-index health care) up to 48 h after childbirth. Outcome was analyzed 6 months after childbirth and categorized into full breastfeeding for less than 4 months or for at least 4 months. The association between breastfeeding and maternal health literacy was calculated with univariable and multivariable logistic regression analyses.
Results: 38.8% of mothers showed inadequate or limited health literacy. 75.9% of mothers had fully breastfed their child for at least 4 months. Univariable logistic regression analysis showed that health literacy and full breastfeeding for at least 4 months were not associated (OR = 0.995 [CI 0.977-1.015], p = 0.60). After adjusting for all potentially confounding variables with a significant association (p ≤ 0.05) on both health literacy and breastfeeding, the multivariable model showed no association between health literacy and breastfeeding (OR = 0.984 [CI 0.963-1.007], p = 0.170).
Conclusion: Surprisingly, we found no association between health literacy and breastfeeding behavior in our study. Therefore, future research with comparable measurements of health literacy and breastfeeding is required to validate this result and to identify reasons for early breastfeeding cessation.
(© 2021. The Author(s).)

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